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| Date: | ___________________________ | ||||
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First Name: |
_________________________ Last Name:______________________ | ||||
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Address: |
___________________________________________________________ | ||||
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City: |
_______________________________ State __________ Zip_________ | ||||
Phone: |
________________________ Email _____________________________ | ||||
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* "Where there's a will, there's a way." Please send me information about how to include the Companion Pet Program in my will. |
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* I would like to volunteer. Please contact me with more information. |
| * I am a local veterinarian and would like to know more about how I can help. |
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$ _______________ (Make check to Volunteers of America) |
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Or if you prefer to use your credit
card: |
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| Credit Card No.: | _____________________________ Exp. Date:__________ |
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Signature: |
_____________________________ Date: __________ |
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Enter your pet's picture on our Website Pet Showcase
When you
make a donation of $35 or more, |
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